| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.80 | $1,771.00 | $5,393.00 | |
BCBS
| Facility | $705.66 | $1,509.44 | $3,022.65 | |
Cigna
| Facility | $709.00 | $709.00 | $735.00 | |
Hally Health
| Professional | $167.21 | $292.95 | $1,165.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $165.00 | $963.00 | $3,686.00 |